HESI RN
HESI RN Nursing Leadership and Management Exam 6
1. Which outcome indicates that treatment of a male client with diabetes insipidus has been effective?
- A. Fluid intake is less than 2,500 ml/day
- B. Urine output measures more than 200 ml/hour
- C. Blood pressure is 90/50 mm Hg
- D. The heart rate is 126 beats/minute
Correct answer: A
Rationale: The correct outcome indicating effective treatment of diabetes insipidus in a male client is a fluid intake of less than 2,500 ml/day. In diabetes insipidus, excessive urination causes increased fluid intake to compensate for the fluid loss. By effectively managing the condition, the client's fluid intake should decrease. Choices B, C, and D do not directly reflect the effectiveness of treatment for diabetes insipidus. Increased urine output (choice B) may indicate inadequate control of the condition, while low blood pressure (choice C) and a high heart rate (choice D) are not specific indicators of effective treatment for diabetes insipidus.
2. A client with diabetes mellitus is experiencing diabetic ketoacidosis (DKA). What laboratory result should the nurse monitor closely?
- A. White blood cell count of 15,000.
- B. Blood glucose level of 320 mg/dL.
- C. Sodium level of 145 mEq/L.
- D. Serum creatinine level of 1.0 mg/dL.
Correct answer: B
Rationale: A blood glucose level of 320 mg/dL indicates the need for insulin to manage diabetic ketoacidosis.
3. A nurse is providing instructions to an adolescent who has a history of seizures and is taking an anticonvulsant medication. Which of the following statements indicates that the client understands the instructions?
- A. I will never be able to drive a car.
- B. My anticonvulsant medication will clear up my skin.
- C. I can't drink alcohol while I am taking my medication.
- D. If I forget my morning medication, I can take two pills at bedtime.
Correct answer: C
Rationale: The correct answer is C: 'I can't drink alcohol while I am taking my medication.' Alcohol can lower the seizure threshold and should be avoided by individuals taking anticonvulsants. Choice A is incorrect because it is an extreme statement and not necessary for someone taking anticonvulsants. Choice B is incorrect as anticonvulsant medications are not used to clear skin conditions. Choice D is incorrect because doubling up medication doses can be harmful and should not be done without healthcare provider approval.
4. A client with atrial fibrillation is prescribed warfarin, and their INR is elevated. What is the nurse's priority action?
- A. Administer a dose of vitamin K to reverse the effects of warfarin.
- B. Monitor the client for signs of bleeding, such as bruising or nosebleeds.
- C. Increase the client’s warfarin dosage to prevent clot formation.
- D. Notify the healthcare provider immediately and hold the next dose of warfarin.
Correct answer: D
Rationale: An elevated INR in clients taking warfarin increases the risk of bleeding, indicating the dose may be too high. The nurse's priority action is to notify the healthcare provider immediately and hold the next dose of warfarin to prevent bleeding complications. Administering vitamin K is not the first-line intervention for an elevated INR. Monitoring for signs of bleeding is important but not the priority over contacting the healthcare provider. Increasing the warfarin dosage can exacerbate the risk of bleeding and is contraindicated.
5. What is the primary purpose of the logrolling technique for turning?
- A. To decrease the risk of back injury by working together.
- B. To maintain straight spinal alignment.
- C. To increase client safety by using two or three people.
- D. To reduce the likelihood of skin damage by turning instead of pulling.
Correct answer: B
Rationale: The correct answer is B: To maintain straight spinal alignment. Logrolling is a technique used to carefully turn a client while keeping the spine in a straight line, especially important for those with spinal injuries or after back surgery. Choice A is incorrect because the primary purpose is not specifically to decrease the risk of back injury but to ensure safe turning. Choice C is incorrect as the main aim is not to increase client safety by using multiple people but to protect the spine. Choice D is incorrect because the primary purpose of logrolling is not to prevent skin damage but to safeguard the spine during turning.